Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10869 | Date 01/04/2022 |
| Token No | SM/22-23/11302 01/04/2022 | Serial | 043 Last Visit: 02/04/2022 |
| Patient Name | Mr. MAINAK DAS | Contact No | |
| Address | GHOSHPARA BAIDYABATI | Age | 52 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||